Provider Demographics
NPI:1740636992
Name:HIGHBRIDGE CARE HOMEWOOD LLC
Entity type:Organization
Organization Name:HIGHBRIDGE CARE HOMEWOOD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:HAMBURG
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:212-517-5885
Mailing Address - Street 1:3880 COCONUT CREEK PARKWAY
Mailing Address - Street 2:SUITE 202
Mailing Address - City:COCONUT CREEK
Mailing Address - State:FL
Mailing Address - Zip Code:33066
Mailing Address - Country:US
Mailing Address - Phone:212-517-5885
Mailing Address - Fax:212-861-1467
Practice Address - Street 1:3880 COCONUT CREEK PARKWAY
Practice Address - Street 2:SUITE 202
Practice Address - City:COCONUT CREEK
Practice Address - State:FL
Practice Address - Zip Code:33066
Practice Address - Country:US
Practice Address - Phone:212-517-5885
Practice Address - Fax:212-861-1467
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-06
Last Update Date:2016-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health